OrganizationActive
Kaleidoscope Therapy, LLC
NPI 1619011012 · Pediatric Occupational Therapist · Glen Carbon, IL
Provider details
- NPI number
- 1619011012
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Robyn Somraty, Owner(618) 977-4683
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
486 Glen Crossing Rd
Glen Carbon, IL 62034-1500
Phone: (618) 977-4683
Street-level locationGet directions
Mailing address
486 Glen Crossing Rd
Glen Carbon, IL 62034-1500
Registry dates
- Enumerated
- 2007-02-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.